Accutome B-Scan Plus User manual

B-Scan Plus User’s Guide
24-6110 Rev-E

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Accutome B-Scan Plus Manual
Federal law restricts this device to sale by or on the order of a physician.
FEDERAL COMMUNICATIONS COMMISSION (FCC)
UNINTENTIONAL EMITTER PER FCC PART 15
This device has been tested and found to comply with the limits for a Class B
digital device, pursuant to Part 15 of the FCC rules. These limits are designed to
provide reasonable protection against harmful interference in an ofce installation.
This equipment generates, uses, and can radiate radio frequency energy and, if
not installed and used in accordance with the instructions in the user manual,
may cause harmful interference to radio or television reception. However, there
is no guarantee that interference will not occur in a particular installation. If this
equipment does cause interference to radio or television reception, which can be
determined by turning the equipment off and on, the user is encouraged to try to
correct the interference by one or more of the following measures:
• Reorient or relocate the receiving antenna.
• Increase the separation between the equipment and receiver.
• Connect the equipment to an outlet on a different circuit from that to which
the receiver is connected.
• Consult Accutome, Inc. or an experienced radio/TV technician for help.
This device complies with Part 15 of the FCC Rules. Operation of this product is
subject to the following two conditions: (1) this device may not cause harmful
interference, and (2) this device must accept any interference received, including
interference that may cause undesired operation.
CAUTION: Changes or modifications not expressly approved by Accutome, Inc. could void
the FCC compliance and negate your authority to operate the product.
The B-Scan Plus is Manufactured by:
Accutome, Inc.
3222 Phoenixville Pike
Malvern, PA 19355 USA
Toll Free (USA): 1-800-979-2020
International: 610-889-0200
Fax: [phone]

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Chapter 1: Introduction 1
Accutome B-Scan Plus Overview 1
Features 1
Adjustable TGC Curves 2
Gamma Settings 2
Gain Adjustment 2
Automatic Image Orientation Labeling 2
Image Playback 2
Measurements 2
Patient Data Storage and Retrieval 2
Reports and Printouts 2
Components 2
About This Manual 3
Chapter 2: Safety 4
Safety Information 4
Safety Issues to Consider When Using the Accutome B-Scan Plus 4
Indications for use 4
Disposal Requirements 4
Symbol Denitions for the Accutome B-Scan Plus 4
Safety Precautions 4
Disinfection and Cleaning 5
Safety Precautions 5
Cleaning Procedure at Point of Use 6
Disinfection of the Probes with Alcohol 6
High- Level Disinfection of the Probe 6
Electrical Hazard and Safety 6
Avoiding Equipment Damage 7
Chapter 3: Getting Started 8
Assembling the Accutome B-Scan 8
What you need 8
Installing the Software 9
Installation - Phase One 9
Installation - Phase Two 10
Installation - Phase Three 10
Probe 11
Footswitch Setup 11
Basic Operation 12
Starting Accutome B-Scan Plus Program 12
How to Start a New Patient Exam 12
Operation 15
Scanning 15
Table Of Contents

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Accutome B-Scan Plus Manual
How to Print an Exam 16
How to Save Patient Exams 16
Chapter 4: Setup 17
Setting Up the B-Scan Plus 17
How to Access Setup 17
Setup Menu Selections 17
Facilities 18
Users 20
Sequences 22
Options 28
Image Controls 32
Physicians 36
Chapter 5: Performing Exams 39
Overview 39
Exam Steps 39
How to Start a New Exam 39
Initial Exam Screen 40
Exam Screen Features 45
Exam Information Displayed above Image 45
Current View 46
All Views 46
Tools Palette 46
Add View 47
Edit Current View 48
Probe Orientation 48
Edit Exam Info 48
Analyze 49
Menu Buttons 49
Probe Usage in Scanning 49
How the B-Scan Probe Works 49
Probe Operation 50
Marker Alignment 50
Probe Positions 51
How to Scan 52
Macula Scans 56
Horizontal Macula 56
Longitudinal Macula 56
Labeling Macula Scans 56
A-Vector 56
Completing Patient Exam 57
Main Menu 57
New Exam 57
Exit 57
Analyze 57

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Table Of Contents
Chapter 6: Patient Image Analysis 58
Overview 58
Selecting Images for Analysis 58
How to Select an
Existing Exam 58
Analyze Screen 59
Exam Information Displayed above Image 59
Current View 60
Editing Current View Info 60
Selecting an Existing Exam 61
How to Edit Exam Info 62
Exams 64
Playing an Exam 64
Stopping an Exam 64
Pause 64
Forward 64
Backward 65
TGC Adjustment 65
How to Adjust the TGC 65
Image Enhancement Gammas 66
Linear 66
S-Curve 67
Log 67
Color 68
Changing Gamma Settings 68
How to Use Zoom 68
Reset Zoom 69
How to Move Image 69
How to Take a Measurement on an Existing Image 70
Measurement Types 70
A-Vector 71
Comments on Image 72
Chapter 7: Printing Images & Reports 74
Overview 74
Printing Images 74
How to Print an Image 74
Creating Reports 75
Selecting Patient Exam 76
Capturing Snapshots 76
Reports Tool 76
Create a New Report 78
Report Form 78
Selecting Snapshots 79
Inserting Selected Snapshots 80
Print or Save Report 80

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Accutome B-Scan Plus Manual
Chapter 8: Archive and Restore 82
Overview 82
Archive Screen 82
Archive to CD or DVD 83
Selecting Patient Exams 83
Burn Disc 84
Archive to a Local/Net Hard Disk 85
Additional Archive Features 86
Restore Screen 88
Restore from DVD or CD 89
Selecting Patient Exams 89
Selecting Individual Exams 90
Select All 90
Clear All 90
Restore 91
Restore Local/Network Hard Disk 91
Selecting the Local/Network HD Tool 91
Selecting the Folder for Restoring Exams 92
Selecting Patient Exams 92
Executing Restore 92
Additional Restore Features 93
Exams on Backup Features 93
Select All 93
Clear All 93
Total Space Needed 93
Check Conict 93
Overwrite Old Exams 94
Exams on Destination 94
Select All 94
Clear All 94
Remove Selected Exams 94
Exams on System 95
DVD/CD Features 95
Free Space On The System 95
Select Folder 95
Information of Media 95
Eject 96
Load 96
Abort 96
Available Exams 96
Local/Net Hard Disk 96
Select Folder 96
List Exams in the Folder 96
Abort 96
Main Menu and Exit 96

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Chapter 9: Maintenance 97
General Maintenance 97
Chapter 10: Specifications 98
Overview 98
Physical Specifications 98
Environmental Specifications 99
Computer Specifications 99
Operating Modes 100
Storage/Range Specifications 100
Acoustic Output 101
EMC Compliance Information 101
Warranty 105
Product Returns 105
Service and Repair 105
All Other Returns 105
Non-Returnable Merchandise 105
Chapter 11: Warranty & Repairs 105
Replacement Parts 106
Table Of Contents

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Accutome B-Scan Plus Manual
Figure 1.1 - Accutome B-Scan Plus Components 1
Table 1.1 - B-Scan Computer Specications 8
Figure 3.1 - Accutome B-Scan Plus Probe 11
Figure 3.2 - Accutome B-Scan Plus Footswitch 11
Figure 3.4 - Main Screen Starting New Exam 12
Figure 3.3 - Accutome B-Scan Plus Desktop Shortcut 12
Figure 3.5 - New Exam Info Screen 13
Figure 3.6 - Entering New Patient Information 13
Figure 3.7 - Selecting Facility 13
Figure 3.11 - Exam Screen 14
Figure 3.8 - Selecting Physician 14
Figure 3.9 - Selecting Scan Group and Protocol 14
Figure 3.10 - Selecting Scan Group and Protocol 14
Figure 3.13 - Probe Tab Active 15
Figure 3.14 - Cine Tab Active 15
Figure 3.15 - TGC Tab Active 15
Figure 3.12 - Tools Palette and Current View 15
Figure 3.16 - Gamma Tab Active 15
Figure 4.1 - Selecting Setup 17
Figure 4.3 - Selecting “New” Facility 18
Figure 4.2 - Setup Facilities Tab 18
Figure 4.4 - New Facility Information Active 19
Figure 4.5 - Saving New Facility 19
Figure 4.6 - Update Restore Point Dialog 20
Figure 4.7 - Restore Facilities Dialog 20
Figure 4.8 - Users Screen 20
Figure 4.10 - New User Information Active 21
Figure 4.9 - Users Screen, New User 21
Figure 4.11 - Saving New User 21
Figure 4.12 - Update Restore Point Dialog 22
Figure 4.13 - Restore Users Dialog 22
Figure 4.14 - Sequences Screen 22
Figure 4.16 - Adding New Sequence 23
Figure 4.17 - Assigning Name to New Sequence 23
Figure 4.15 - Adding New Sequence 23
Figure 4.18 - New Sequence - New View Active 24
Figure 4.19 - First Scan Editing View 24
Figure 4.20 - Adding a New Sequence Scan 25
Figure 4.21 - New Sequence Scan (View) Added 25
Figure 4.22 - Change Probe Orientation 25
Figure 4.24 - Saving New Sequence 26
Figure 4.23 - Change Probe Orientation 26
Figure 4.25 - Deleting a Sequence 26
Figure 4.26 - Duplicating Current Sequence 27
List Of Figures

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Figure 4.27 - Update Restore Point Dialog 27
Figure 4.29 - Options Screen 28
Figure 4.28 - Restore Sequences Dialog 28
Figure 4.30 - Selecting Main Exam Folder 29
Figure 4.32 - Selecting Restored Exam Folder 29
Figure 4.31 - Windows Browser - Locate Exam Folder 29
Figure 4.33 - Windows Browser - Locate Exam Folder 29
Figure 4.34 - Selecting Exam Name Combination 30
Figure 4.33 - Windows Browser - Locate Exam Folder 30
Figure 4.34 - Selecting Probe Depth 31
Figure 4.35 - Selecting Probe Cine Buffer 31
Figure 4.36 - Adjusting the Power Level 31
Figure 4.37 - Image Settings Before Adjustment 33
Figure 4.38 - TGC Adjustment 33
Figure 4.39 - Selecting a Preset Gamma 33
Figure 4.41 - Image Settings After Adjustments 34
Figure 4.42 - Selecting Gain Adjustment 34
Figure 4.40 - Adjusting Contrast and Brightness 34
Figure 4.43 - Adjusting Gain 35
Figure 4.44 - Restore All to System Defaults 35
Figure 4.45 - Update Restore Point Dialog 35
Figure 4.46 - Restore Options Dialog 35
Figure 4.47 - Exiting Setup (Cancel) 35
Figure 4.48 - Physicians Screen 36
Figure 4.49 - Physician Name Entered 36
Figure 4.50 - Saving New Physician 37
Figure 4.51 - Update Restore Point Dialog 37
Figure 4.52 - Restore Physicians Dialog 38
Figure 5.1 - Starting a New Exam 39
Figure 5.3 - Initial Exam Screen 40
Figure 5.2 - No Probe Found Message 40
Figure 5.4 - Initial Exam Screen with Patient Name 42
Figure 5.5 - Selecting Gender 42
Figure 5.6 - Selecting Facility 43
Figure 5.7 - Selecting Physician 43
Figure 5.8 - Selecting Operator 44
Figure 5.9 - Selecting Scan Group 44
Figure 5.10 - Selecting Scan Protocol 44
Figure 5.11 - Starting New Exam 45
Figure 5.12 - Exam Screen Layout 45
Figure 5.13 - Probe and Scan Controls Tab Selected 46
Figure 5.14 - TGC Adjustments Tab Selected 47
Figure 5.15 - Gamma Adjustments Tab Selected 47
Figure 5.16 - Cine Adjustments/Play Tab Selected 47
Figure 5.17 - Edit Exam Information Window 48
Figure 5.18 - B-Scan Example 50
Figure 5.19 - Eye and Probe Marker Alignment 50
Figure 5.20 - New Exam with Selected Protocol - First Scan Complete 53

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Accutome B-Scan Plus Manual
Figure 5.21 - New Exam No Protocol - First Scan Selected 53
Figure 5.22 - New Exam First Scan Complete 54
Figure 5.23 - New Exam Second Scan Complete 54
Figure 5.24 - Adding a View 54
Figure 5.28 - Changing a View - Done 55
Figure 5.25 - Adjusting Gain 55
Figure 5.26 - Changing a View - Probe Position 55
Figure 5.27 - Changing a View - Slice Position and Global Orbit 55
Figure 5.29 - Labeling an LMAC Scan 56
Figure 5.30 - LMAC Scan Labeled 56
Figure 5.31 - Selecting “Show A-Vector” 56
Figure 5.32 - A-Vector Displayed 57
Figure 6.2 - Analyze Screen 58
Figure 6.1 - Starting Existing Exam 58
Figure 6.3 - Analyze Screen Layout 59
Figure 6.4 - Selecting a Patient Exam 61
Figure 6.5 - Existing Exam Displayed 62
Figure 6.6 - Edit Exam Information Window 63
Figure 6.7 - Restore Changes Information Dialog 63
Figure 6.8 - Exit Edit Exam Information Dialog 63
Figure 6.9 - Exams Tab 64
Figure 6.10 - Starting Scan Play 64
Figure 6.11 - Scan Stopped and Returned to Beginning 64
Figure 6.12 - TGC Adjustments Displayed 65
Figure 6.13 - Linear Full Range Gamma Setting 66
Figure 6.14 - S-Curve Full Range Gamma Setting 67
Figure 6.15 - Log Full Range Gamma Setting 67
Figure 6.16 - Color Gamma Setting 68
Figure 6.17 - Selecting a New Gamma Setting 68
Figure 6.18 - Zoom Selected 68
Figure 6.19 - Zoom Changed 69
Figure 6.20 - Image Move Icon 69
Figure 6.22 - Line 1 Measurement Displayed 70
Figure 6.21 - Line 1 Measurement Selected 70
Figure 6.24 - Area 1 Measurement Display 71
Figure 6.23 - Area 1 Measurement Selected 71
Figure 6.26 - A-Vector Displayed 72
Figure 6.25 - Selecting “Show A-Vector” 72
Figure 6.27 - Selecting “Comments on Image” 72
Figure 6.28 - Entering Comments 73
Figure 6.29 - Comments Appearing on Image 73
Figure 7.1 - Printing a Frame 75
Figure 7.2 - Selecting Reports Tool 76
Figure 7.5 - Conrming Snapshot Deletion 77
Figure 7.3 - Selecting Snapshot List 77
Figure 7.4 - Selecting Snapshot List 77
Figure 7.7 - Creating a New Report 78
Figure 7.6 - Executing Manage Reports 78
List Of Figures